NPIMap

Organization Active NPI

Pueblo of Zuni EMS

  • Land Ambulance
  • Zuni, NM
National Provider Identifier
1386768463
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
14437 Issued in NM
Legal business name
PUEBLO OF ZUNI EMS
Practice address
#04 Third Street
Zuni, NM 87327-0339
Phone
(505) 782-4833
Fax
(505) 782-4591
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Edward A Sanchez
Title
Chief
Phone
(505) 782-4833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 14437 NM Primary

Addresses

Primary practice location

#04 Third Street
Zuni, NM 87327-0339

Mailing address

#04 Third Street
P.O. Box 339
Zuni, NM 87327-0339

Other identifiers 1

IdentifierTypeStateIssuer
000R0593MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100608000140 NM Part B Supplier - Ambulance Service Supplier 5991835654 Practice locations: Zuni, NM

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Zuni EMS Prog6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1386768463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#04 THIRD STREET",
            "address_2": "P.O. BOX 339",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270339",
            "fax_number": "505-782-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#04 THIRD STREET",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270339",
            "telephone_number": "505-782-4833",
            "fax_number": "505-782-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO OF ZUNI EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "505-782-4833"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NM",
            "license": "14437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000R0593",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zuni, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.